Individual
DR. TERESA MARIE KERGE
Active
Individual
DR. TERESA MARIE KERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101259196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101259196
MEDICAL LICENSE
VA
01
—
1457308611
MEDICARE GROUP NPI
—
01
—
1851617120
NPI
—
01
—
C09813
MEDICARE GROUP PTAN
—
Enumeration date
04/12/2010
Last updated
03/07/2023
Update your record
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